MOJ Header

Current Issue - March 2022, Volume 16, Issue No. 1

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

A Cadaveric Study of the Carpal Tunnel and Anatomical Variations of the Median Nerve in Vietnamese Adults: Implications for Single Portal Endoscopic Carpal Tunnel Release


  1. Padua L, Coraci D, Erra C, Pazzaglia C, Paolasso I, Loreti C, et al. Carpal tunnel syndrome: clinical features, diagnosis, and Lancet Neurol. 2016; 15(12): 1273-84. doi: 10.1016/S1474-4422(16)30231-9
  2. Wipperman J, Goerl K. Carpal Tunnel Syndrome: Diagnosis and Management. Am Fam Physician. 2016; 94(12): 993-9.
  3. Graham B, Peljovich AE, Afra R, Cho MS, Gray R, Stephenson J, et al. The American Academy of Orthopaedic Surgeons Evidence-Based Clinical Practice Guideline on: Management of Carpal Tunnel Syndrome. J Bone Joint Surg Am. 2016; 98(20): 1750-4. doi: 10.2106/JBJS.16.00719
  4. Kim PT, Lee HJ, Kim TG, Jeon IH. Current approaches for carpal tunnel syndrome. Clin Orthop Surg. 2014; 6(3): 253-7. doi: 10.4055/cios.2014.6.3.253
  5. Pajardi G, Pivato G, Pegoli L, Pisani D. Complications Following Endoscopic Treatment. In: Carpal tunnel syndrome. Berlin Heidelberg: Springer; 2007. p 290-8.
  6. Agee JM, McCarroll HR Jr, Tortosa RD, Berry DA, Szabo RM, Peimer CA. Endoscopic release of the carpal tunnel: a randomized prospective multicenter study. J Hand Surg Am. 1992; 17(6): 987-95. doi: 10.1016/s0363-5023(09)91044-9
  7. Trung DT, Ngoc TM, Gia DH, Ngoc SD, Le Manh S, Dinh TD, et al. Endoscopic carpal tunnel release surgery: a case study in Vietnam. J Orthop Surg Res. 2019; 14(1): 149. doi: 10.1186/s13018-019-1192-z
  8. Kozin SH. Single-portal endoscopic carpal tunnel release. In: Ruch DS, editor. Atlas of the Hand Clinics: Lunotriquetral injuries. Vol 7. USA: Saunders; 2002. p 229-41.
  9. SmartRelease® System. 2020. (accessed on 2 June 2020)
  10. Mitutoyo AC. Product Information: ABSOLUTE Digimatic Caliper Series 500-with Exclusive ABSOLUTE Encode Technology. 2019. (accessed on 10 April 2017).
  11. Samarakoon LB, Guruge MH, Jayasekara M, Malalasekera AP, Anthony DJ, Jayasekara RW. Anatomical landmarks for safer carpal tunnel decompression: an experimental cadaveric study. Patient Saf Surg. 2014; 8(1): 8. doi: 10.1186/1754-9493-8-8
  12. Omokawa S, Tanaka Y, Ryu J, Suzuki J, Kish VL. Anatomy of the ulnar artery as it relates to the transverse carpal ligament. J Hand Surg Am. 2002; 27(1): 101-4. doi: 10.1053/jhsu.2002.30077
  13. Sacks JM, Kuo YR, McLean K, Wollstein R, Lee WP. Anatomical relationships among the median nerve thenar branch, superficial palmar arch, and transverse carpal ligament. Plast Reconstr Surg. 2007; 120(3): 713-8. doi: 10.1097/01.prs.0000270305.37677.e7
  14. Rotman MB, Manske PR. Anatomic relationships of an endoscopic carpal tunnel device to surrounding structures. J Hand Surg Am. 1993; 18(3): 442-50. doi: 10.1016/0363-5023(93)90089-L
  15. Vella JC, Hartigan BJ, Stern PJ. Kaplan's cardinal line. J Hand Surg Am. 2006; 31(6): 912-8. doi: 10.1016/j.jhsa.2006.03.009
  16. Vasiliadis HS, Tokis AV, Andrikoula SI, Kordalis NV, Beris AE, Xenakis T, et al. Microsurgical dissection of the carpal tunnel with respect to neurovascular structures at risk during endoscopic carpal tunnel release. Arthroscopy. 2006; 22(8): 807-12. doi: 10.1016/j.arthro.2006.03.021
  17. Henry BM, Zwinczewska H, Roy J, Vikse J, Ramakrishnan PK, Walocha JA, et al. The Prevalence of Anatomical Variations of the Median Nerve in the Carpal Tunnel: A Systematic Review and Meta-Analysis. PLoS One. 2015; 10(8): e0136477. doi: 10.1371/journal.pone.0136477. Erratum in: PLoS One. 2015; 10(9): e0138300.
  18. Al-Qattan MM. Variations in the course of the thenar motor branch of the median nerve and their relationship to the hypertrophic muscle overlying the transverse carpal ligament. J Hand Surg Am. 2010; 35(11): 1820-4. doi: 10.1016/j.jhsa.2010.08.011
  19. Mizia E, Tomaszewski KA, Goncerz G, Kurzydlo W, Walocha J. Median nerve thenar motor branch anatomical variations. Folia Morphol (Warsz). 2012; 71(3): 183-6.
  20. Al-Qattan MM, Al-Zahrani K. An unusual pre-ligamentous thenar motor branch of the median nerve. Eur J Plast Surg. 2017; 40(3): 259-62. doi: 10.1007/s00238-016-1271-x
  21. Olave E, Prates JC, Gabrielli C, Pardi P. Morphometric studies of the muscular branch of the median nerve. J Anat. 1996; 189 (Pt 2)(Pt 2): 445-9.
  22. Ahn DS, Yoon ES, Koo SH, Park SH. A prospective study of the anatomic variations of the median nerve in the carpal tunnel in Asians. Ann Plast Surg. 2000; 44(3): 282-7. doi: 10.1097/00000637-200044030-00006

Abstract   |   Reference

MOJ footer

About Us

The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

Keep in Touch

creative-commons License